The assessments that indicate a fluid volume excess in a patient in the acute phase of a CVA is:
1. decreased blood pressure.
2. weak pulse.
3. adventitious breath sounds.
4. high specific gravity of urine.
3
Crackles in the lung fields are a major indicator of fluid excess. The pulse and BP are ele-vated in fluid excess. Urine specific gravity is low in fluid excess.
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A) Cimetidine B) Furosemide C) Acetaminophen D) Antacids
A patient, recovering from skin grafts to the arm because of burn injuries, is demonstrating an increase of drainage, bleeding, and edema. The nurse prepares to treat which complication?
1. Arthus reaction 2. Serum sickness 3. Type I hypersensitivity reaction 4. Type IV hypersensitivity reaction
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Clubbing of the nails occurs with which of the following clinical conditions?
a. iron deficiency ane-mia c. infection of the nail b. acute severe anemia d. long-standing hypoxia